Healthcare Provider Details

I. General information

NPI: 1194012757
Provider Name (Legal Business Name): ALIANA MEJIAS-OCAMPO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 BREN RD E
MINNETONKA MN
55343-9664
US

IV. Provider business mailing address

5961 SW 81ST ST
MIAMI FL
33143-8119
US

V. Phone/Fax

Practice location:
  • Phone: 786-459-8122
  • Fax:
Mailing address:
  • Phone: 305-975-7126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP1616182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: